It’s a holy grail of health care: forcing the industry to reveal prices negotiated between health plans and hospitals — information that had long been treated as a trade secret. And among the flurry of executive orders President Donald Trump signed during his first five weeks back in office was a promise to “Make America Healthy Again” by giving patients accurate health care prices. The goal is...
The Health Insurance Portability and Accountability Act (HIPAA) Breach Notification Rule is a critical component of healthcare compliance in the United States, mandating that covered entities and their business associates promptly notify affected individuals, the Department of Health and Human Services (HHS), and, in certain cases, the media, following a breach of unsecured protected health...
The Stark Law and Anti-Kickback Statute (AKS) are two key regulations aimed at preventing fraud and abuse in healthcare. Non-compliance with these laws can result in severe penalties, including fines, exclusion from federal healthcare programs, and reputational harm. Understanding these laws and taking proactive steps can help protect your practice and ensure compliance. Stark Law Compliance The...
Starting an IV Hydration Business: Overlooked Items That Can Sink Your Ship As an attorney specializing in healthcare law, I often see entrepreneurs excited to launch IV hydration businesses. While the demand is high, many overlook critical aspects that can lead to costly legal battles and even business failure. Here are some often-overlooked items. Scope of Practice Nurse Practitioner/Physician...
Throughout my 40 years of experience as a healthcare attorney and advisor, I have witnessed significant transformations in the business of medicine. Perhaps one of the most telling examples is the rise, fall, and evolution of Independent Practice Associations (IPAs), network models, and Management Services Organizations (MSOs). These structures embody how physicians and entrepreneurs have...
Licensing is one of the most foundational aspects of operating as a healthcare professional or organization. Yet, navigating this complex process often proves to be a daunting task, especially when unexpected hurdles arise. While some healthcare practitioners and business owners rely on consultants to facilitate their licensure applications, there are specific instances where enlisting the...
